| NPI | 1801907225 |
|---|---|
| Former Name | MELISSA ANN ROEDEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101240281) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WV 22491) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: VT 042-0012511) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2021-06-25 |